facebook tracking Hypertension with major complications cost in Illinois: 11 hospitals compared (DRG 304)

Hypertension with major complications in Illinois

What 11 hospitals in Illinois charged and were paid for a Medicare hospital stay for hypertension with major complications (DRG 304), from 2024 Medicare claims.

DRG 304 Inpatient 2024 Medicare data
Average charge $53,328 Hospital list price billed
Average payment $12,346 Medicare + patient + other payers
Medicare paid $8,726 Average per stay
State rank #25 of 30 1 = lowest average payment

Hospitals in Illinois billed an average of $53,328 for hypertension with major complications, about 4.3 times the average total payment of $12,346. That payment is 7% above the U.S. average of $11,589.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $12,346Billed $53,328

About 23¢ was paid for every $1 hospitals in Illinois billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Illinois:

Illinois hospitals: hypertension with major complications

Every Illinois hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Northwestern Medicine McHenryMcHenry 24 $56,058 $17,393 $6,828
Northwestern Memorial HospitalChicago 23 $56,607 $12,884 $10,212
The University of Chicago Medical CenterChicago 22 $70,935 $16,199 $12,431
Saint Francis Medical CenterPeoria 21 $73,716 $14,894 $8,321
Memorial Medical CenterSpringfield 19 $37,431 $9,789 $8,226
Evanston HospitalEvanston 18 $38,645 $10,534 $8,665
Memorial HospitalBelleville 14 $42,306 $8,595 $7,315
Advocate Trinity HospitalChicago 12 $42,578 $9,362 $8,002
Decatur Memorial HospitalDecatur 11 $30,339 $8,903 $7,683
Provena Mercy Medical CenterAurora 11 $61,832 $9,964 $9,371
Advocate Condell Medical CenterLibertyville 11 $58,102 $8,869 $7,074
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Lowest and highest payments in Illinois

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Memorial HospitalBelleville, IL$8,595
Advocate Condell Medical CenterLibertyville, IL$8,869
Decatur Memorial HospitalDecatur, IL$8,903
Advocate Trinity HospitalChicago, IL$9,362
Memorial Medical CenterSpringfield, IL$9,789

Highest

Hypertension with major complications in other states

Questions

How much does hypertension with major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for hypertension with major complications (DRG 304) at 11 hospitals in Illinois was billed at $53,328 on average, while the average total payment was $12,346, of which Medicare paid $8,726. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Illinois, average charges were 4.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.